| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
358 |
354 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
326 |
322 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,076 |
986 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
126 |
124 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
462 |
456 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
26 |
$2K |
| 71250 |
|
12 |
12 |
$565.30 |